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Magnetic Resonance Imaging Assessment of Blood Flow Distribution in Fenestrated and Completed Fontan Circulation with Special Emphasis on Abdominal Blood Flow

Caro-Dominguez P, Chaturvedi R, Chavhan G, Ling SC, Yim D, Porayette , Lam CZ, Kim TK, Seed M, Grosse-Wortmann L, Yoo SJ

OBJECTIVE: To investigate the regional flow distribution in patients with Fontan circulation by using magnetic resonance imaging (MRI). MATERIALS AND METHODS: We identified 39 children (18 females and 21 males; mean...
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Characterization of Flow Efficiency, Pulsatility, and Respiratory Variability in Different Types of Fontan Circuits Using Quantitative Parameters

Ha KS, Choi JY, Jung SY, Park HK

PURPOSE: Details on the hemodynamic differences among Fontan operations remain unclear according to respiratory and cardiac cycles. This study was undertaken to investigate hemodynamic characteristics in different types of Fontan...
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Heart Transplantation in Patients with Superior Vena Cava to Pulmonary Artery Anastomosis: A Single-Institution Experience

Jeon BB, Park CS, Yun TJ

BACKGROUND: Heart transplantation (HTx) can be a life-saving procedure for patients in whom single ventricle palliation or one-and-a-half (1½) ventricle repair has failed. However, the presence of a previous bidirectional...
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Management of Coronary Sinus Ostial Atresia during a Staged Operation of a Functional Single Ventricle

Kang SR, Park WK, Kwon BS, Ko JK, Goo HW, Park JJ

Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken...
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Adult Congenital Heart Disease with Pregnancy

Niwa K

The number of women with congenital heart disease (CHD) at risk of pregnancy is growing because over 90% of them are grown-up into adulthood. The outcome of pregnancy and delivery...
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Extracardiac Conduit Fontan Operation with Reduction Aortoplasty for Left Pulmonary Artery Compression after a Norwood Procedure in a Patient with Double-Inlet Left Ventricle

Song JW, Kim WH, Kwak JG, Park JY

Patients with double-inlet left ventricle usually have a small ascending aorta. In the Norwood procedure, which involves a staged operation, a neoaorta is constructed with a homograft, and the pulmonary...
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Where Is the “Optimal” Fontan Hemodynamics?

Ohuchi H

Fontan circulation is generally characterized by high central venous pressure, low cardiac output, and slightly low arterial oxygen saturation, and it is quite different from normal biventricular physiology. Therefore, when...
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Development of a Pulmonary Arteriovenous Fistula after a Modified Glenn Shunt in Tetralogy of Fallot and Its Resolution after Shunt Takedown in a 57-Year-Old Patient

Kim SY, Kim ER, Bang JH, Kim WH

Pulmonary arteriovenous fistula (PAVF) is a complication of the Glenn shunt. A 57-year-old tetralogy of Fallot (TOF) patient, who had undergone a Glenn shunt and TOF total correction, complained of...
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Fontan Revision with Y-Graft in a Patient with Unilateral Pulmonary Arteriovenous Malformation

Lee JW, Park JJ, Goo HW, Ko JK

The extracardiac conduit Fontan procedure is the last surgical step in the treatment of patients with a functional single ventricle. An acquired pulmonary arteriovenous malformation may appear perioperatively or postoperatively...
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Pregnancy and Delivery in Functional Single Ventricle Patient; Successful Long-Term Outcome after Right Ventricle Exclusion and Fontan Operation

Kim SY, Cho S, Choi E, Kim WH

Twenty-six-year-old Ebstein's anomaly patient, who had failed both biventricular and one-and-a-half repair, underwent right ventricle exclusion and Fontan operation. She completed pregnancy and delivery owing to the excellent long-term clinical...
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Echocardiographic Assessment of Pulmonary Arteries Pulsatility Index in Fontan Circulation

Shabanian , Mirzaaghayan MR, Dadkhah M, Hosseini M, Rahimzadeh M, Akbari Asbagh P, Navabi MA

BACKGROUND: Late complications after Fontan procedure may be due to the absence of pump and pulsatile pulmonary blood flow in this type of palliation. Our aim was to quantify the...
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Transvascular Implantation of an Implantable Cardioverter-Defibrillator in a Patient Who has Undergone One-and-a-Half Ventricle Repair

Yang PS, Park JW, Lee YJ, Kim DJ, You SC, Park DH, Uhm JS, Kim NK

Implantable cardioverter-defibrillator (ICD) therapy is acknowledged as a valid treatment method for the effective prevention of sudden cardiac death, which is a major cause of mortality in adult congenital heart...
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Transvenous Implantation of a DDDR Pacemaker in a Patient with Extracardiac Conduit Fontan Circulation

Chun KH, Uhm JS, Lee SE, Seo J, Yang PS, Choi JH, Kim NK

As the survival rate of patients with complex congenital heart disease has improved and the number of adult patients with congenital heart disease has risen, arrhythmias and heart failure have...
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Unscheduled Hospitalization in Adults with Congenital Heart Disease

Negishi J, Ohuchi H, Yasuda K, Miyazaki A, Norifumi N, Yamada O

BACKGROUND AND OBJECTIVES: Little information is available regarding adult patients with congenital heart disease (CHD) who needed unscheduled hospitalization (USH). This paper aims to elucidate the clinical features of adult...
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Inhaled iloprost for the treatment of patient with Fontan circulation

Kim YH, Chae MH, Choi DY

Decreased exercise capacity after Fontan surgery is relatively common and the failure of the Fontan state gradually increases with age. However, there is no further treatment for patients with Fontan...
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The Clinical Outcomes of Damus-Kaye-Stansel Procedure According to Surgical Technique

Yang CK, Jang WS, Choi ES, Cho S, Choi K, Nam J, Kim WH

  • KMID: 2382167
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Aug;47(4):344-349.
BACKGROUND: The Damus-Kaye-Stansel (DKS) procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction (SVOTO). However, there have been few reports on which surgical technique shows...
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Extracardiac Conduit Fontan Operation and Right Ventricular Exclusion Procedure for Right Ventricle Failure after Repair of Partial Atrioventricular Septal Defect

Yang CK, Jang WS, Choi ES, Cho S, Choi K, Nam J, Kim WH

  • KMID: 2288792
  • Korean J Thorac Cardiovasc Surg.
  • 2014 Jun;47(3):275-279.
A 13-year-old girl, who had undergone the total correction of partial atrioventricular septal defect at the age of 4 years, was admitted with severe tricuspid regurgitation in echocardiography. She had...
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Anesthetic management of laparoscopic pheochromocytoma excision in a patient with a Fontan circulation: a case report

Lee HC, Nam K, Lee JH, Park YH, Kim HS, Kim CS, Kim JT

An 18-year-old male with a Fontan circulation underwent excision of a pheochromocytoma after conversion from laparoscopic surgery. The pneumoperitoneum established for laparoscopic surgery may have adverse effects on the Fontan...
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Right ventricular failure in congenital heart disease

Cho YK, Ma JS

Despite developments in surgical techniques and other interventions, right ventricular (RV) failure remains an important clinical problem in several congenital heart diseases (CHD). RV function is one of the most...
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Extra-adrenal pheochromocytoma after operation of congenital heart disease: a case report of 18-year-old boy

Hwang BH, Kim HY, Jung SE, Park KW

Extra-adrenal pheochromocytoma is rare and presents variable symptoms. Its difficulty to diagnosis delays appropriate treatment. We would like to report an unusual case of extra-adrenal pheochromocytoma. The patient came to...
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